Publications by authors named "Spaulding C"

Previous studies have suggested that adults with dyslexia do not enjoy reading, based on data from trait-based questionnaires. This study uses state-based measures of reading to offer greater insight into different aspects of motivation, including liking and wanting. In a new paradigm sensitive to dynamic changes in reading enjoyment, adults with dyslexia (n = 59) and without dyslexia (n = 59) read 24 book extracts, rated their enjoyment and answered a question about the extract.

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Background: There is increasing interest in enhancing the response of the PARP inhibitor olaparib, which is currently approved for pancreatic ductal adenocarcinoma (PDAC) patients with defects in DNA damage repair associated with germline BRCA1/2 mutations. Moreover, agents that can mimic these defects in the absence of germline BRCA1/2 mutations are an area of active research in hopes of increasing the number of patients eligible for treatment with PARP inhibitors. The extent to which regorafenib, an FDA-approved tyrosine kinase inhibitor, can be used to enhance the efficacy of PARP inhibitors in PDAC cells without known BRCA1/2 mutations remains to be investigated.

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Despite advances in immune checkpoint inhibitors, chemotherapy remains the standard therapy for patients with pancreatic ductal adenocarcinoma (PDAC). As the combinations of chemotherapy, including the FOLFIRINOX [5-fluorouracil, F; irinotecan, I; and oxaliplatin, O (FIO)] regimen, and immune checkpoint inhibitors have failed to demonstrate clinical benefit in patients with metastatic PDAC tumors, there is increasing interest in identifying therapeutic approaches to potentiate ICI efficacy in patients with PDAC. In this study, we report that neoadjuvant FOLFIRINOX-treated human PDAC tumors exhibit increased MEK/ERK activation.

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MRTX1133 is currently being evaluated in patients with pancreatic ductal adenocarcinoma (PDAC) tumors harboring a KRASG12D mutation. Combination strategies have the potential to enhance the efficacy of MRTX1133 to further promote cell death and tumor regression. In this study, we demonstrated that MRTX1133 increased the levels of the proapoptotic protein BIM in PDAC cells and conferred sensitivity to the FDA-approved BCL2 inhibitor venetoclax.

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Background & Aims: The apical-basal polarity of pancreatic acinar cells is essential for maintaining tissue architecture. However, the mechanisms by which polarity proteins regulate acinar pancreas injury and regeneration are poorly understood.

Methods: Cerulein-induced pancreatitis was induced in mice with conditional deletion of the polarity protein Par3 in the pancreas.

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  • This study investigates how variations in Mycobacterium tuberculosis (M. tuberculosis) may influence tuberculosis infection and treatment results.
  • A high-throughput method was used on 158 drug-sensitive strains to analyze their genetic and phenotypic relationships, with a focus on their growth under different host-like conditions.
  • Results showed that these strains exhibited diverse growth traits linked to specific genetic mutations, identifying key variants that correlate with clinical outcomes like cavitary disease and treatment failure.
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  • The study aimed to assess the effectiveness of ticagrelor versus clopidogrel in preventing cardiovascular events among chronic coronary syndrome patients undergoing complex percutaneous coronary interventions (PCI).
  • Among 1,866 patients in the trial, nearly half were identified as having complex PCI, which was associated with significantly higher rates of myocardial infarction and other complications.
  • Despite the increased risk associated with complex PCI, ticagrelor did not demonstrate any advantage over clopidogrel in reducing these adverse events.
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  • - The study evaluated the effectiveness of abbreviated dual antiplatelet therapy (DAPT) in patients at high bleeding risk undergoing heart procedures, finding that it reduces bleeding without increasing ischemic events.
  • - Data from a trial involving 4,579 patients, including 30.7% women, showed that abbreviated DAPT outcomes for major adverse events and bleeding were similar for both sexes.
  • - The analysis demonstrated consistent safety and effectiveness of abbreviated DAPT across genders, indicating no significant difference in net adverse clinical events between men and women.
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This study evaluated the effect of an airway localization device (ALD) on surgical cricothyrotomy (SC) success rates and prehospital provider confidence. SC is indicated in 0.62% to 1.

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  • - The study investigates the role of the polarity protein Par3 in maintaining the structure and homeostasis of pancreatic acinar cells, revealing that loss of Par3 disrupts tight junctions but does not affect the initial development of the pancreas.
  • - Par3 deficiency leads to issues such as low-grade inflammation, acinar degeneration, and worsens conditions like pancreatitis, causing significant cell loss and impeding regeneration processes.
  • - Additionally, Par3 loss is linked to severe pancreatic lesions in mice with mutant Kras, but targeting BET proteins shows promise in enhancing cell regeneration and reducing damage during pancreatic injuries.
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  • Recent trials indicate that early coronary angiography (CAG) doesn't improve survival outcomes compared to delayed CAG in patients with out-of-hospital cardiac arrest (OHCA) without ST elevation, although the effects on specific subgroups are still uncertain.
  • An analysis of 1,512 patients from five trials showed no significant difference in overall death rates between early and delayed CAG strategies, regardless of factors like age and prior heart issues.
  • Interestingly, women appeared to have higher odds of death with early CAG, suggesting that gender may influence outcomes in this context.
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What affects moment-to-moment motivation to read? Existing reading motivation questionnaires are trait-based and not well suited to capturing the dynamic, situational influences of text or social context. Drawing on the decision science literature, we have created a paradigm to measure situational enjoyment during reading. Using this paradigm, we find reading enjoyment is associated with further decision-making about the text and with reading comprehension.

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  • The study aimed to evaluate whether early coronary angiography (CAG) improves outcomes in patients who experienced out-of-hospital cardiac arrest (OHCA) without an ST-elevation myocardial infarction (STE) pattern on ECG.
  • Using data from multiple medical databases, researchers analyzed randomized clinical trials comparing early CAG to deferred CAG, focusing on 30-day mortality and other health outcomes.
  • The results showed no significant difference in 30-day mortality or neurological outcomes between the two groups, suggesting that early CAG is not beneficial for these patients.
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Background: Combatting the tuberculosis (TB) epidemic caused by ( ) necessitates a better understanding of the factors contributing to patient clinical outcomes and transmission. While host and environmental factors have been evaluated, the impact of genetic background and phenotypic diversity is underexplored. Previous work has made associations between genetic lineages and some clinical and epidemiological features, but the bacterial traits underlying these connections are largely unknown.

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Evolution is the main feature of all biological systems that allows populations to change their characteristics over successive generations. A powerful approach to understand evolutionary dynamics is to investigate fixation probabilities and fixation times of novel mutations on networks that mimic biological populations. It is now well established that the structure of such networks can have dramatic effects on evolutionary dynamics.

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  • Percutaneous left atrial appendage closure is aimed at patients with atrial fibrillation who are at high risk for blood clots and bleeding, and this study evaluates its effectiveness and safety in a French medical center from 2014 to 2020.
  • The study involved 207 patients, achieving a successful closure rate of 97.6%, while noting a decline in procedural complications over the years and a significant reduction in both thromboembolic and bleeding events during follow-up.
  • The findings highlight the procedure's benefits and the importance of collaborative medical expertise to ensure successful outcomes in this high-risk patient population.*
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  • - The study investigates whether using the novel sirolimus eluting balloon (SEB) along with provisional drug-eluting stents (DES) is as effective as using DES alone in preventing target vessel failure (TVF) after percutaneous coronary intervention (PCI) over a 5-year period.
  • - It is a multi-center, randomized trial that will enroll 3,326 patients across 50 sites in Europe and Asia, focusing on those with specific coronary conditions, while excluding certain high-risk cases.
  • - The trial will evaluate TVF rates and various outcomes, including bleeding events and cost-effectiveness, at multiple follow-up points, aiming to determine if the SEB strategy is at least as good as, or possibly
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Background: Transcatheter closure of a symptomatic prosthetic paravalvular leak (PVL) is feasible, but there is presently no conclusive evidence to show consistent efficacy. We aimed to identify predictors of clinical success after transcatheter PVL closure.

Methods: Consecutive patients referred to 24 European centers for transcatheter PVL closure in 2017 to 2019 were included in a prospective registry (, FFPP).

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It is widely believed that biological tissues evolved to lower the risks of cancer development. One of the specific ways to minimize the chances of tumor formation comes from proper spatial organization of tissues. However, the microscopic mechanisms of underlying processes remain not fully understood.

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Importance: Although an emergency coronary angiogram (CAG) is recommended for patients who experience an out-of-hospital cardiac arrest (OHCA) with ST-segment elevation on the postresuscitation electrocardiogram (ECG), this strategy is still debated in patients without ST-segment elevation.

Objective: To assess the 180-day survival rate with Cerebral Performance Category (CPC) 1 or 2 of patients who experience an OHCA without ST-segment elevation on ECG and undergo emergency CAG vs delayed CAG.

Design, Setting, And Participants: The Emergency vs Delayed Coronary Angiogram in Survivors of Out-of-Hospital Cardiac Arrest (EMERGE) trial randomly assigned survivors of an OHCA without ST-segment elevation on ECG to either emergency or delayed (48 to 96 hours) CAG in 22 French centers.

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